Curriculum
Our Pediatrics and Internal Medicine-Pediatrics residency programs were among the first programs to trial an "X+Y" model for ambulatory education. Our Internal Medicine program has been following a "6+2" format for several years and Pediatrics adopted a matching 6+2 format. Data from this national pilot has let to a change in the new ACGME requirements, allowing for broader implementation of X+Y scheduling.
Our residents will be following a general pattern of six weeks of inpatient service time (general floors/ICU/elective time), followed by two weeks of exclusively ambulatory medicine. Continuity clinics, outpatient didactics and other pertinent outpatient experiences (adolescent medicine, outpatient medicine subspecialty clinics, developmental pediatrics) are contained within the two-week ambulatory block. Residents are not expected to attend continuity clinic while on wards, ED or ICU rotations. We are excited to continue explore the many educational benefits of this curriculum.
Education Curriculum Schedule
In general, our residents complete the following rotations over their four years, in addition to the regularly occurring primary care-focused ambulatory blocks and vacations. For reference, one block=four weeks.
| Year | Internal Medicine | Pediatrics |
|---|---|---|
| PGY 1 |
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| PGY 2 |
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| PGY 3 |
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| PGY 4 |
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- 1 block = 2 weeks
- Each year includes 12 clinical blocks of Internal Medicine, 12 blocks of Pediatrics, and 2 blocks of vacation.
- IM ambulatory blocks include Adult and Pediatric continuity clinics, primary care didactics, outpatient neurology, homeless outreach, and other elective experiences
- Pediatric ambulatory blocks include Adult and Pediatric continuity clinics, primary care didactics, adolescent medicine, developmental-behavioral pediatrics, quality improvement, and elective experiences.
Block Schedule Template
Our residents rotate between Medicine and Pediatrics every three months. Since our year is divided into 13 blocks of four weeks each, this allows for complete seasonal variation over the course of four years, as you can see from the sample template below. Since vacation time is drawn from the side on which you spend more time that year, every year you get an even split of clinical time on Medicine and Pediatrics, meaning no one falls behind in one specialty or the other.
Primary care-focused ambulatory blocks occur every 4th block. In addition to both pediatric and adult continuity clinics, these blocks include Peds or Medicine themed outpatient experiences.
